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Long term care
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Grande_latte04 has 2 years experience and specializes in Long term care.

Grande_latte04's Latest Activity

  1. Grande_latte04

    Anyone NEVER been hit/hurt working psych?

    That's great. That was not my experience. I think because many of our patients in inpatient child and adolescent psych were very traumatized, had multiple behavioral issues and were in various states of foster care/conservatorship, it really highlighted their bx issues and as a result many were more violent and aggressive... especially the younger clients. That being said, I was not a nurse in this setting, but a teacher.
  2. Grande_latte04

    Anyone NEVER been hit/hurt working psych?

    The memory care/ dementia patients do hit during sundown. Luckily, many of them (not all) are very slow and not strong. There will be an occassional elderly lady with strong fingers for pinching and jaws for bitting. What I have found to be the most scary is working with adolescent and child psychiatry. Before I became a nurse I was a teacher in an inpatient psych unit for behaviorally disturbed youth. I was kicked, punched, spit on. I had a kid bite my finger so hard he damaged tendons. I only worked there for a year, before I became angry and bitter- realized it and quit.
  3. Grande_latte04

    FNP - Their Own Clinic - California

    I know this comment is late to the game, but as on Oct 05 2020 NP can practice independently by January 2023 in California
  4. Grande_latte04

    Scab nursing?

    This is capitalism. The big hospitals that legit take in 100s of millions to billions of dollars a year will not budge for nurse Sally to make an extra 2.25 an hour. Strikes will happen, and they are better than socialized medicine.
  5. Grande_latte04

    Worst Nursing Scrub Color Worn?

    white is def the worst. I think pink looks silly
  6. Grande_latte04

    FNP PROGRAM United States University

    I am interested in this program. And would like to hear people's experiences with state licensure and securing a position.
  7. Grande_latte04

    NP Student, highly wanting to do med school?

    My most recent job I worked often with two providers: An MD and an FNP. They were equally knowledgable, equally experienced, and honestly I could not tell them apart aside from the fact that the NP was slightly older than the MD. Finish NP school and become an NP. As many mentioned, time is not on your side for all the things you wish to accomplish.
  8. Grande_latte04

    Assistant director of nursing... is this a mistake?

    I didn't end up getting the position, and it is currently vacant. Who knows what that was about? I agree. Super weird.
  9. I am a relatively new nurse. A little over a year of experience at this point. I am one of those people that needs direction/ needs to work towards a goal. That being said I think I want to become an NP. Not necessarily today or tomorrow, but I would like to start this in the next 5 years. The idea of commitment to a specialty right now is a bit terrifying. A little background: I have worked in long term care for 6 months- I actually loved LTC/rehab and memory care. I love bedside nursing/ I love the actual job of taking care of people. I left this job because my family needed to move across the country. Currently in California, and am working in primary care as a float nurse. I initially didn't love my job- but it has grown on me. I do adult primary care, pediatric primary care and would love to get into urgent care. I have spoken to my boss, and with the pandemic, there will be furloughs, and honestly, as the bread winner, the idea of losing income scares me. I found another job- super stable, better pay, better benefits working in mental health. I think I will like mental health- I enjoyed my nursing rotation in mental health and I have worked with psych patients in LTC. But when I think about what I want to do, what I enjoy I just circle back I don't really know. I think about what is it that makes me excited/ what do I envision and how do I realistically get there (while also caring for a very young family) and I just get lost. Here are just some thoughts I had (maybe they are idealist or ridiculous or dumb.. but this is why I am asking input from more experienced and wise nurses). 1) I enjoy working with children. I always have. I have at times imagined myself being a pediatric nurse. I have tried to get into pediatric hospitals to no end. Pediatric psych seems like something I could enjoy. I was once a teacher in a residential treatment facility for kids with behavior and emotional issues. I enjoyed it for the most part (company was pretty corrupt, but the population was enjoyable). I have thought about eventually PMHNP or possibly a PNP? I'm not necessarily asking the difference between the two, but maybe if someone has experiences with pediatrics in psych-mental health or is a PNP? And how those two might intersect? 2) My other thought(s) were to pursue a PMHNP and attempt to work in an emergency room? Does that happen? I don't even know? I have also had interest in becoming a SANE? Anyone w/ experience with that? Could I be a SANE nurse and pursue a PMHNP? Or could I become a PNP and do pediatric SANE (the idea that this has to exist is tragic and awful). 3) I am a bit of an adrenaline junkie. The idea of working in a more acute setting than a doctor's office is kind of where I'm at- I am excited to make a switch to a mental health facility- even with higher acuity. Maybe I would enjoy working in a crisis unit? Anyone with experience there? 4) I like the idea of being in charge/responsible for someone's care- be in mental or physical. I think I could be quite good at it with the right guidance/mentorship/opportunity. 5) My other thought is the money aspect. In my new position, I will be doing very well for myself- as an evening/NOC nurse I make >93k. As an NP I could possibly make another 35-40k a year... maybe an additional 50k. But to be entirely honest, the money is not that important to me. What is really more important is having some job flexibility- the ability to set my schedule or at least to have some control over my schedule. If that makes sense. Sometimes I feel like I know exactly what I want to do- other times I feel like I need to be an RN and just get experience before I commit to something else. Maybe I should do travel nursing? or bungee jumping.. I just don't know. Any life guidance any of you all might have would greatly be appreciated. Additionally, I apologize for the manifesto.
  10. So I have an interesting predicament I am hoping someone can provide some insight on. I have been a nurse for about a year. Prior to nursing I had a first career as a researcher and a scientist. I have a phd in psychology and was a professor/researcher for many years. I am a new nurse, still learning lots, and greatful for every opportunity that has been thrown my way. I am currently working a job I dislike and am looking to change. I had an interview at a mental health facility for an RN position. I felt the interview went well and they told me they were interested. After a second interview they told me to think about it and get back to them the next day with salary requirements. I did that. They said they would get into contact with HR and get back to me. I spoke to HR today and she came back with this: after reviewing your credentials we want to interview you for the assistant director of nursing position. I said I was interested, that I needed a job description and I was looking forward to this meeting. I feel a bit strange about this. Administration has never been an aspiration of mine. I love nursing because I love interacting with patients. I love hands on nursing. I even love floor nursing, although I don't imagine I will love floor nursing forever. But I don't know, maybe I will. The ADA seems like a lot to chew off, and I still feel like a new nurse. I would also be new to mental health. Other than my rotation and a brief time I was a sub teacher in a special needs facility, I actually have very little experience with mental health- especially mental health nursing. I just don't really know what to think about all this. Anyone with any insight? I mean ADN not ADA... apologies
  11. Grande_latte04

    Is it normal to hate my job this much?

    I feel the opposite. I love bedside nursing. I hate administrative work. I am in outpatient right now and I am bored senseless.
  12. Grande_latte04

    Any new nurses escape the floor successfully ???

    Im working outpatient peds. It's okay. Very dull. Don't use most of my nursing skills.
  13. I think they have an extremely valid case. Also 180k for nursing education is ridiculous. We want to encourage people to go into nursing, not dissuade them.
  14. Grande_latte04

    Quit while in orientation/ help with new job

    I am an RN. My job right now is that I am training so that I can work in multiple departments. My preceptor is not my boss, just someone who is training me. He is the head nurse in one of the departments and only one of three nurses in the department. The problems she had with my wound care, were that according to them I was the pattern I was wrapping the arm, keeping sterile fields and dirty fields on opposite sides of my body, apparently not being organized enough, the time I was taking. There were other things, but honestly I can not remember them all during the three separate wound cares I did on the same arm. I asked why she wouldn't sign off on some of my skills specifically, SQ injections, IM injections, PO medications because I have been successfully giving medication for the past couple weeks, and she said she wasn't confident I could do all of these things correctly. I made no med errors/ went through all patient rights every single time... so I don't really know what I need to do to prove to her I can give an IM injection or PO Tylenol. Today was pretty bad as well, she wouldnt let me do the wound care today, she refused to leave her office/ and raised her voice at me when I asked her a question (which I had to ask by calling her). Monday is my last day in this department. Im getting moved somewhere else. Maybe its for the best, but it has been pretty not good.
  15. Grande_latte04

    Quit while in orientation/ help with new job

    I have posted about this before. I don't want to come across as the newish nurse that complains constantly about their job, but I guess I need advice/ need to vent/ feel as if I am at a cross roads at my company. I work for a relatively large non-profit hospital network. I was super pumped to get the job. I had 7 months experience prior at a SNF and I was super excited to try something new and different- primary care (both adults and peds). I started this job in July- about a month ago. I began orientation at an adult primary care clinic that is mostly spanish speaking. My first week of orientation, my preceptor didn't let me do anything aside from checking the crash cart and her documentation. She on many occasions told me she was going to treat me as a brand new nurse or a student. I was super bummed, but after talking to my husband- thought well maybe this is how she teaches. At the end of week 1- she told me she didn't trust me to do anything right and that I wasn't taking orientation seriously. The one wound care she let me do, she made me re-do it three times. Things were also super slow because of COVID, so there was a lot of downtime. Honestly, I probably wasn't taking things too seriously, and I take responsibility for that entirely. So the next week, I did everything she asked, I let her teach how she wanted to teach. The second week rolled by and my review was a little better. She was still doing a bunch of hand holding- wouldn't let me submit documentation without her viewing it first, standing behind me with every patient. But I was feeling more comfortable with the staff and the doctors (huge practice- 12 or so doctors, 15 or so medical assistants). Week 3 came by and she no longer wanted to help me. It seemed like everytime I asked a question, she gave me quite a bit of attitude- like I should know the answer to these questions. The past couple days, I have been seeing patients by myself/doing all the documentation/ scheduling new appointments etc. I was pretty proud of myself- navigating all of this on my own, often times with limited spanish. Today, preceptor called me into her office and said a bunch of stuff that was really discouraging. 1) "If you make it through the 90 days, you are going to have to be able to work at lots of clinics". (I am in a position where I can be placed at many different clinics). I almost said.."what do you mean if"? But I just let her continue. I was super offended that she would phrase it this way- that she didn't think I would make it out of the probation period. 2) She started grilling me on random facts- what do you wear for contact precautions. I had the correct answer, but also threw face mask in there because... well we are always wearing face masks. She used that as an opportunity to tell me I was an unsafe nurse. 3) Refused to mark off skills I had clearly shown her I was more than proficient in. I am aware I have a lot of things to learn. And I was excited about learning them. Now I am just dreading any contact with her. 4) She basically told me it was time for me to move to a different clinic. And that I was going to be placed somewhere else for the next week and wasn't going to be working with her anymore. She phrased it like she wanted me to experience something else, but I really got the impression that she just didn't want to deal with me anymore. I just feel like this job might not be working out for me. I feel exhausted and defeated and like maybe I shouldn't even be a nurse. In my previous job, I had positive reviews from my supervisors. I took care of my patients, and always viewed myself as a safe nurse who could critically think pretty well. I just feel like no matter what I do I can't win.
  16. Grande_latte04

    Help with new job

    So I have been a nurse for a whole 8 months. I know this makes me a newbie to the field. Before I was a nurse, I was a researcher and professor. I got my PhD in biology and taught at various universities for 5 years before I ultimately decided I was unhappy and needed a change. I am still pretty young (30's) so am not considering retirement anytime soon. For the past 8 months, I've been working in a relatively large rehab facility. I love my job: I enjoy the patients, the people I work with, my day to day routine. Especially now since we have beat covid-19 in our facility (at least for now) . We got hit very hard and had many deaths. I moved to Southern California about a month ago and got what I thought was a pretty sweet deal at a non-profit hospital system. On the surface, this job seemed awesome: more money, day shift, different variety of patients. I was really stoked. I completed the first week of classroom training that was super non-applicable and nothing I didn't already know. To explain, they grouped the nurses with the MAs and the entire training was focused on the MAs. The next week I moved to a clinic. The first day went okay. The next couple days, the nurse training me decided she didn't like how I did wound care, or how I gave IM injections or wrote notes or charted. At the end of week 1 she told me she didn't trust me to do anything without her. Im also super limited by a huge language barrier. I don't speak any spanish and 50% of the patients we see are spanish only. The nurse said she would help translate for me, but so far it has been her having a conversation with patients and me doing her charting. The second week (this week) has actually gotten worse. We are only seeing maybe 3 patients a day. She does all the nursing care and leaves me to chart for her. For example, she removed stitches today and had me do the charting. Today was exceptionally bad, because not only did I not really get to do any nursing care, but the MAs and the nurse had a conversation in front of me how they dislike it when people come to work at their clinic who don't speak spanish, and that they should just send english only speakers up North (note: super far from where I live). I was super hurt, because I am already feeling insecure about not speaking spanish, but it just confirms that they don't want me there. The nurse and MAs also spend a great deal of time making dispariging comments about the cleaning staff and other MAs who are not at the front desk. I don't know what to do. Im only at this location for another week and a half. But that will be the end of my training and Im expected to have learned everything I am suppose to know. Part of me wants to quit and find something else because I am so discouraged. Help? words of encouragement?